Provider Demographics
NPI:1508840802
Name:FREIMANIS, RITA IRENE (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:IRENE
Last Name:FREIMANIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 4TH ST RM L3185
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2350
Mailing Address - Country:US
Mailing Address - Phone:415-885-7464
Mailing Address - Fax:
Practice Address - Street 1:1825 4TH ST RM L3185
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2350
Practice Address - Country:US
Practice Address - Phone:415-885-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC318172085B0100X, 2085R0202X, 2085R0204X, 2085U0001X
CAG1358102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV193791000Medicaid
SCQ31817Medicaid
64178OtherMEDCOST
4241600OtherAETNA
8537OtherPARTNERS
VA7234414Medicaid
33882OtherBCBS
NC8933882Medicaid
4241600OtherAETNA
E72859Medicare UPIN
WV193791000Medicaid